Kenneth S Chang MD PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MA38097 Issued in NJ

Legal business name

KENNETH S CHANG MD PA

Practice address

3144 Kennedy Blvd
Jersey City, NJ 07306

Phone

(201) 792-9339

Fax

(201) 792-9818

NPI assigned

Dec 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth S Chang, MDNPI 1053489997

Title

President

Phone

(201) 792-9339

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth S. Chang, M.D.

  • Gynecology Physician
  • Jersey City, NJ
  • NPI 1053489997
  NPD (past) Authorized official
• James Kenneth Chang, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jersey City, NJ
  • NPI 1053501916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245398270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-792-9339",
            "fax_number": "201-792-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-792-9339",
            "fax_number": "201-792-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH S CHANG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-792-9339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA38097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118400150336",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Etienne Kenfack, APN
• David Kenigsberg, MD
• Kennedy Rehab & Physical Therapy
• Kirsten Marie Kennedy
• Robert Edward Kennedy, PH.D.
• Shar Kennett, MD
• Kiera Kennette
• Colleen Jaime Kenny
• Patricia Marie Kenny, RPH
• Elyse B Kerschner, D.D.S.

• Obstetrics & Gynecology Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.